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<br /> <br />OqL~ ,SM~ Co.ry c•Vc+J':C.c 0,'SMrl u. <br />P 387 827 173 P 387 827 172 <br />RECEIPT FOR CERTIFIED MAIL RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE RROVIpEp rvp MSURANCE COVERAGE RRpVIDEp <br />Npi FOR INiERNA710NAL MAiL NOi FOR INiERNAiI¢NAL MAIL <br />/See Reverse) (See Reversel <br />ffi <br />i <br />d <br />d <br />C <br />l7 <br />N <br />y <br />a <br />O~ <br />d <br />LL <br />a <br /> <br /> <br />Sent (o <br />En r a r` ¢ ~ Ott ' <br />Slreel an0~o. <br />y~ <br />P.O.. Slate antl ZI <br />P <br />Cotle <br />~ <br />1 <br />CC VL ~ `U~J!!j u dI/e7, <br />Postage 5 <br />Cenilretl Fee <br />(, <br />Special Delivery Fee <br />Reslrrcl¢tl Delrvery Fee <br />Return Receipt showing <br />to whom antl Daie Deirvereo / / ~~ <br />Return R¢Cerpl shOwmg to whom. <br />Dale. an ~y ^ elrvery <br />roT ft ~ ee <br />r v ~:. <br />• sue. S <br />POSLRm M Or Day <br />~.. <br />ro <br />( <br />\~?J <br /> <br /> <br />i <br />d <br />a <br />0 <br />lj <br />N <br />7 <br />Sen! to <br />SA ip e+. of c..,..,..: n~. <br />$ reel and NO <br /> <br />P O.. Slate antl ZIP Coae <br />,$AG,. .9c Ce /a,.R qo SY <br />Postage 5 _~ <br />CBnilietl Fee <br /> . ~ U <br />Specrat Delrvery Fee <br />Resuicle0 Delrvery Fee <br />Rewm Reccip~ showing <br />l0 whom and Dale Deliveretl <br />~. / ~I <br />RClurn Receipt sh0 to wnOm, <br />Dale ontl AnnJeS p~.~ i, , <br />TOTAL VI yge a l1 5~.2 <br />Poslm:v w ale <br />jj .. <br />)~ <br />YJ'O // V. <br />, <br />\ ~= <br />m <br />~_ <br />d <br />L <br />n <br />LL <br />N <br />a <br />•rs <br />